Abstract:
STUDY DESIGN:Retrospective review. OBJECTIVE:Anchor stability and prominence are problems with pelvic fixation in pediatric spinal deformity surgery. We compared the new sacral alar iliac (SAI) fixation technique (with a starting point in the sacral ala and in-line anchors deep under the midline muscle flap) with other methods of screw fixation. SUMMARY OF BACKGROUND DATA:Iliac anchors have been shown to provide the best form of pelvic fixation. A trajectory from the posterior sacral surface to the iliac wings has recently been described. To our knowledge, no clinical series has compared this method of pelvic fixation in children to others. METHODS:Of 32 consecutive pediatric patients who underwent SAI fixation, 2 died and 26 returned for follow-up (>2 years). Mean age at surgery was 14 years. Average screw size was 67 mm long and 7 to 9 mm in diameter. Clinical examinations, radiographs, and computed tomography scans were analyzed. Outcomes included pain over the implants, screw placement, implant prominence, radiographic lucency, need for revision, and infection. SAI patients were compared with 27 previous patients who had pelvic fixation via other screw techniques. RESULTS:For SAI fixation, correction of pelvic obliquity and Cobb angles were 20° ± 11° (70%) and 42° ± 25° (67%), respectively. For other pelvic fixation methods, those values were 10° ± 9° (50%), and 46° ± 16° (60%), respectively. Compared with other screws, SAI screws provided significantly better pelvic obliquity correction (P = 0.002) but no difference in Cobb correction. There were 2 lucencies adjacent to screws in both groups. Computed tomography scans of 18 SAI patients showed no intrapelvic protrusion, but 1 screw extended laterally (<5 mm). One early SAI patient required revision with larger screws, which relieved pain; there was 1 revision in the comparison group. SAI patients had no deep infections, implant prominence, late skin breakdown, or anchor migration; traditional patients had 3 deep infections (P = 0.09) and 3 instances of implant prominence, skin breakdown, or anchor migration. CONCLUSION:SAI pelvic fixation produces better correction of pelvic obliquity than do previous techniques. Radiographic and clinical anchor stability is satisfactory at 2-year follow-up.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Sponseller PD,Zimmerman RM,Ko PS,Pull Ter Gunne AF,Mohamed AS,Chang TL,Kebaish KMdoi
10.1097/BRS.0b013e3181e03881subject
Has Abstractpub_date
2010-09-15 00:00:00pages
1887-92issue
20eissn
0362-2436issn
1528-1159journal_volume
35pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:An in vitro biomechanical study. OBJECTIVE:To perform in vitro biomechanical testing on a lumbar spine using a 6-degree-of-freedom machine. To compare the range of motion (ROM), intradiscal pressure, and facet force of different 3-level dynamic stabilization constructs with traditional rigid constructs. T...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182a6a4ec
更新日期:2013-10-15 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To identify early independent mortality predictors after spine trauma. SUMMARY OF BACKGROUND DATA:Spine trauma consists of spinal cord and spine column injury. The ability to identify early (within 24 hours) risk factors predictive of mortality in spine trauma has th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182634cbf
更新日期:2013-01-15 00:00:00
abstract:STUDY DESIGN:Characterization of the analytic profile of proteoglycans in the intervertebral discs at L4-L5 of nondiabetic (n = 5) and diabetic (n = 5) age-matched subjects. The discs used were discarded material from operations. OBJECTIVES:To clarify the reason for the higher risk of disc prolapse in diabetic patient...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199804150-00001
更新日期:1998-04-15 00:00:00
abstract:STUDY DESIGN:A prospective cohort study. OBJECTIVE:To evaluate the effects of epidural steroid injections (ESIs) on blood glucose levels in patients with diabetes mellitus. SUMMARY OF BACKGROUND DATA:ESIs are commonly used in the treatment of multiple spinal disorders. Corticosteroid injections have been evaluated in...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/BRS.0b013e31821fd21f
更新日期:2012-01-01 00:00:00
abstract:STUDY DESIGN:The position of a needle tip displayed on a navigation system after transpedicular introduction into a vertebral body is compared with the real position of the needle tip when using a direct navigation coupling between a three-dimensional rotational X-ray (3DRX) system and a navigation system. OBJECTIVES:...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000218580.54036.1b
更新日期:2006-05-20 00:00:00
abstract:STUDY DESIGN:We first present 2 cases of spinal arteriovenous fistulae (AVFs) successfully treated with the help of intra-arterial indocyanine green (ICG) angiography. OBJECTIVE:To demonstrate the efficacy of intra-arterial ICG angiography in spinal AVFs compared with the role of intravenous ICG injection and intraope...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31822ba834
更新日期:2012-02-15 00:00:00
abstract:STUDY DESIGN:A prospective study of patients whose spinal cord tumors were managed surgically with a unique posterior method of removing and replacing the posterior spinal elements using T-saw ("recapping T-saw laminoplasty"). OBJECTIVES:To examine the safety and efficacy of the recapping T-saw laminoplasty technique ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199907010-00015
更新日期:1999-07-01 00:00:00
abstract:STUDY DESIGN:Animal in vivo study. OBJECTIVE:To test the capability of high-density collagen gel to repair annular defects. SUMMARY OF BACKGROUND DATA:Annular defects are associated with spontaneous disc herniations and disc degeneration, which can lead to significant morbidity. Persistent annular defects after surgi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000103
更新日期:2014-02-01 00:00:00
abstract:STUDY DESIGN:Retrospective study of posterior hemivertebra resection and osteotomies with transpedicular instrumentation in very young children. OBJECTIVE:Assessment of early intervention in congenital scoliosis with almost complete correction of the main deformity. SUMMARY OF BACKGROUND DATA:There is a trend to earl...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181ab6290
更新日期:2009-08-01 00:00:00
abstract:STUDY DESIGN:This is a single-center retrospective case-control study of 7 transfusion-related acute lung injury (TRALI) cases and 28 controls in the pediatric spinal surgery population. OBJECTIVE:To determine the association between maternal transfusion and risk of TRALI in pediatric spinal surgery patients. SUMMARY...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181e3dad2
更新日期:2010-11-01 00:00:00
abstract::The purpose of this study was to describe trunk strength and lumbar paraspinal muscle activity across five angles of flexion during isometric exercise and rest in chronic low-back pain patients and control subjects. High muscle tension as measured by surface integrated electromyography is predicted by a muscle spasm m...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199302000-00012
更新日期:1993-02-01 00:00:00
abstract:STUDY DESIGN:A retrospective radiographic study. OBJECTIVE:To investigate which preoperative radiographic parameters best correlate with the angulation and translation of the lowest instrumented vertebra (LIV) and global coronal balance after posterior spinal pedicle screw fixation for thoracolumbar/lumbar (TL/L) adol...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182091fba
更新日期:2011-09-15 00:00:00
abstract:OBJECTIVES:To focus attention of the clinician on the anatomy and (patho)physiology of the vertebral venous system, so as to offer a tool to better understand and anticipate (potential) complications that are related to the application of percutaneous vertebroplasty and kyphoplasty. BACKGROUND:Percutaneous vertebropla...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000128758.64381.75
更新日期:2004-07-01 00:00:00
abstract:STUDY DESIGN:The histologic and biomechanic characteristics of posterior lumbar fusion with varying rigidity of a novel internal fixation construct in the rabbit were analyzed. OBJECTIVES:To evaluate this rabbit model for future studies of fusion augmentation. SUMMARY OF BACKGROUND DATA:Previous studies in goats and ...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1995-07-15 00:00:00
abstract:STUDY DESIGN:Subgroup analysis of a prospective multicenter study. OBJECTIVE:Outcome analysis of nonoperatively treated elderly patients with type II odontoid fractures, including assessment of consequence of a fracture nonunion. SUMMARY OF BACKGROUND DATA:Odontoid fractures are among the most common fractures in the...
journal_title:Spine
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1097/BRS.0000000000000009
更新日期:2013-12-15 00:00:00
abstract:STUDY DESIGN:An amalgamated review of the current state of knowledge about psychosocial factors in low back pain (LBP), as presented at the plenary session at the Fourth International Forum on LBP Research in Primary Care (March 16-18, 2000, Israel). OBJECTIVES:To outline evidence-based theories that have lead to the ...
journal_title:Spine
pub_type:
doi:10.1097/00007632-200203010-00020
更新日期:2002-03-01 00:00:00
abstract::Techniques for assessing daily function in Patients with back pain are generally crude and limited in scope. We therefore examined a "health status" questionnaire, the Sickness Impact Profile (SIP) to assess its measurement characteristics in such patients. Eighty patients with mechanical low-back pain completed the S...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198309000-00009
更新日期:1983-09-01 00:00:00
abstract:STUDY DESIGN:Absolute and relative growth modulation of apical spinal segments were measured during creation and correction of an experimental scoliosis in a goat model. OBJECTIVE:To differentiate relative and absolute changes in growth on the concavity and convexity of an experimental scoliosis treated with anterior ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000227263.43060.50
更新日期:2006-07-15 00:00:00
abstract::Effects of subject positions on range and repeatability of thoracic and lumbar forward flexion, extension, and lateral flexion were studied. Inclinometric methods were used, and 27 subjects were measured by two trained testers. No great differences in repeatability and range of movements were found between measurement...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199109000-00016
更新日期:1991-09-01 00:00:00
abstract:STUDY DESIGN:Fifty-two study participants underwent cervical spine surgery using intraoperative Iso-C imaging with or without spinal navigation. OBJECTIVES:To evaluate prospectively the feasibility, advantages, limitations, and applications of Iso-C in cervical spine surgery. SUMMARY OF BACKGROUND DATA:Existing stere...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.brs.0000147742.20637.49
更新日期:2004-12-15 00:00:00
abstract:STUDY DESIGN:A morphometric analysis, using magnetic resonance imaging (MRI) studies of the lumbar spine. OBJECTIVE:To identify the anatomic position of the ventral root and the retroperitoneal vessels in relation to the vertebral body in normally aligned and deformed spines. SUMMARY OF BACKGROUND DATA:The lateral ap...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181a029e1
更新日期:2009-05-20 00:00:00
abstract:STUDY DESIGN:This retrospective study involves 26 patients with degenerative cervical myelopathy who were surgically treated by anterior corpectomy, titanium mesh cage (TMC) filled with autogenous bone, and anterior plate +/- posterolateral plate and fusion. OBJECTIVES:This study was conducted to determine the indicat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000145412.93407.c3
更新日期:2004-11-15 00:00:00
abstract:STUDY DESIGN:Cylindrical cages and pedicle screw fixation (PSF) have been used for the setting of a lumbar interbody fusion. OBJECTIVE:To investigate the effects of PSF-nut loosening on lumbar interbody fusion based on the elasto-plateau plasticity of bone characteristics. SUMMARY OF BACKGROUND DATA:The stress-strain...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b6258a
更新日期:2010-03-15 00:00:00
abstract:STUDY DESIGN:Risks and benefits of using a tibial graft for posterior spinal fusion in neuromuscular scoliosis were evaluated in a long-term follow-up study. A consecutive series of 72 patients underwent posterior spinal fusion for neuromuscular scoliosis. OBJECTIVES:Radiologic outcome was assessed to evaluate the qua...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199407001-00012
更新日期:1994-07-15 00:00:00
abstract:OBJECTIVES:The purposes of this study were to evaluate the nature of the paraspinal soft tissue mass and the location of the lesion involved using magnetic resonance imaging and to correlate these observations with surgical findings. SUMMARY OF BACKGROUND DATA:In the past, tuberculous spondylitis was diagnosed by plai...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199411000-00016
更新日期:1994-11-01 00:00:00
abstract:STUDY DESIGN:Correlational study. OBJECTIVE:In spine trauma patients, we aimed to assess the correlation of patient-reported outcome measurement information system (PROMIS) physical function (PF), pain interference (PI), and Depression scores with Oswestry Disability Index (ODI) and Neck Disability Index (NDI) ODI/NDI...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003376
更新日期:2020-06-01 00:00:00
abstract:STUDY DESIGN:An anatomical study in fifteen cadavers. OBJECTIVE:To observe the anatomical relationship of the extrapedicular puncture approach with the spinal nerve and its branches, evaluate the risk of injury to these nerves and recommend a safe puncture path for lumbar extrapedicular percutaneous vertebroplasty (PV...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003947
更新日期:2021-01-08 00:00:00
abstract:STUDY DESIGN:Localized facet joint kinematics resulting from whiplash acceleration were analyzed in the dynamic domain during the time of cervical S-curvature using intact head and neck specimens and a pendulum mini-sled loading apparatus. OBJECTIVES:To determine the effects of gender, impact severity, cervical level,...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000134563.10718.a7
更新日期:2004-08-15 00:00:00
abstract:STUDY DESIGN:A retrospective clinical study. OBJECTIVE:To evaluate the use of recombinant human bone morphogenetic protein-2 (rhBMP-2) as the primary graft material for the surgical treatment of vertebral osteomyelitis. SUMMARY OF BACKGROUND DATA:The clinical and radiographic results using allograft, autograft, and v...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181657ee3
更新日期:2008-03-01 00:00:00
abstract:STUDY DESIGN:Case series. OBJECTIVE:Presentation of results of dorsal root entry zone lesions in 10 patients suffering from severe neuropathic pain due to brachial plexopathy or radiation-induced trigeminal neuropathy. SUMMARY OF BACKGROUND DATA:Radiation-induced neuropathy is an uncommon but serious complication of ...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.brs.0000261541.97749.e7
更新日期:2007-05-01 00:00:00